Jordan Brady Evans, MD in Davenport, IA

Jordan Brady Evans, MD is a medicare enrolled "Dermatology" physician in Davenport, Iowa. He went to Ohio State University College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Soderstrom Dermatology Center S C., Soderstrom Dermatology Center S C. and his current practice location is 1950 E 54th St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 344-7546.

Jordan Brady Evans is licensed to practice in Iowa (license number R-11746) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629537576.

Contact Information

	Jordan Brady Evans, MD
	1950 E 54th St, Davenport, IA 52807-2761
	(563) 344-7546
	(563) 344-1373

Map and Direction

Physician's Profile

Full Name	Jordan Brady Evans
Gender	Male
Speciality	Dermatology
Experience	5 Years
Location	1950 E 54th St, Davenport, Iowa
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Brady Evans attended and graduated from Ohio State University College Of Medicine in 2019

NPI Data:

NPI Number: 1629537576
Provider Enumeration Date: 03/19/2019
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5294068011
Enrollment ID: I20220816001840

Medical Identifiers

Medical identifiers for Jordan Brady Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629537576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	MD-49996 (Iowa)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	R-11746 (Iowa)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	R-11746 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Hlth System Dba Genesis Mdl Ctr-illini	Silvis, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soderstrom Dermatology Center S C.	2062432651	29
Soderstrom Dermatology Center S C.	2062432651	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Brady Evans allows following entities to bill medicare on his behalf.

Entity Name	Van Buren County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814

Entity Name	Soderstrom Dermatology Center S C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20080104000600

Entity Name	Epiphany Dermatology Of Iowa Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104451749 PECOS PAC ID: 7618307034 Enrollment ID: O20200424001980

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Brady Evans is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jordan Brady Evans, MD 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 Ph: () -	Jordan Brady Evans, MD 1950 E 54th St, Davenport, IA 52807-2761 Ph: (563) 344-7546

Reviews and Comments

Dermatology Doctors in Davenport, IA

Dr. William Colantoni Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 E Kimberly Rd, Suite 303, Davenport, IA 52806 Phone: 563-386-3333 Fax: 563-386-9209
Dr. John Allen Bovenmyer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3319 Spring St, Suite 102, Davenport, IA 52807 Phone: 563-359-1671 Fax: 563-359-7813
Austin John Maddy, Dermatology Medicare: Medicare Enrolled Practice Location: 4700 E 56th St Ste 100, Davenport, IA 52807 Phone: 634-219-1005 Fax: 563-421-9109
Jill L. Lightfoot, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 4700 E 56th St Ste 100, Davenport, IA 52807 Phone: 563-421-9100 Fax: 563-421-9129
Dr. Robert F. Godwin, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2322 E Kimberly Rd, Suite N100, Davenport, IA 52807 Phone: 563-355-3376
Dr. Ravindrakumar Gangadhariah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4624 Progress Drive Ste D, Davenport, IA 52807 Phone: 563-355-0015 Fax: 563-355-0013

Jordan Brady Evans, MD - Medicare Dermatology in Davenport, IA